The cost‐effectiveness of treating triple coinfection with <scp>HIV</scp>, tuberculosis and hepatitis C virus

Sánchez‐González, Gilberto

doi:10.1111/hiv.12372

HIV Medicine

2016

DOI: 10.1111/hiv.12372

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The cost‐effectiveness of treating triple coinfection with HIV, tuberculosis and hepatitis C virus

Gilberto Sánchez‐González

Abstract: It is known that treating patients with HIV who are coinfected with TB or HCV implies high cost and low efficacy, but it is possible that the population with triple infections could achieve important benefits in terms of years of life gained.

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2019

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Assessing frontline HIV service provider efficiency using data envelopment analysis: a case study of Philippine social hygiene clinics (SHCs)

Seposo

Okubo²,

Kondo

2019

BMC Health Serv Res

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Background Globally, local and frontline HIV service delivery units have been deployed to halt the HIV epidemic. However, with the limited resources, there is a need to understand how these units can deliver their optimum outputs/outcomes efficiently given the inputs. This study aims to determine the efficiency of the social hygiene clinics (SHC) in the Philippines as well as to determine the association of the meta-predictor to the efficiencies. Methods In determining efficiency, we used the variables from two data sources namely the 2012 Philippine HIV Costing study and 2011 Integrated HIV Behavioral and Serologic Surveillance, as inputs and outputs, respectively. Various data management protocols and initial assumptions in data matching, imputation and variable selection, were used to create the final dataset with 9 SHCs. We used data envelopment analysis (DEA) to analyse the efficiency, while variations in efficiencies were analysed using Tobit regression with area-specific meta-predictors. Results There were potentially inefficient use of limited resources among sampled SHC in both aggregate and key populations. Tobit regression results indicated that income was positively associated with efficiency, while HIV prevalence was negatively associated with the efficiency variations among the SHCs. Conclusions We were able to determine the inefficiently performing SHCs in the Philippines. Though currently inefficient, these SHCs may adjust their inputs and outputs to become efficient in the future. While there were indications of income and HIV prevalence to be associated with the efficiency variations, the results of this case study may only be limited in generalisability, thus further studies are warranted. Electronic supplementary material The online version of this article (10.1186/s12913-019-4163-5) contains supplementary material, which is available to authorized users.

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Assessing frontline HIV service provider efficiency using data envelopment analysis: a case study of Philippine social hygiene clinics (SHCs)

Seposo

Okubo²,

Kondo

2019

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

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The cost‐effectiveness of treating triple coinfection with HIV, tuberculosis and hepatitis C virus

Abstract: It is known that treating patients with HIV who are coinfected with TB or HCV implies high cost and low efficacy, but it is possible that the population with triple infections could achieve important benefits in terms of years of life gained.

Cited by 1 publication

References 34 publications

Assessing frontline HIV service provider efficiency using data envelopment analysis: a case study of Philippine social hygiene clinics (SHCs)

Assessing frontline HIV service provider efficiency using data envelopment analysis: a case study of Philippine social hygiene clinics (SHCs)

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